TEF repair; Esophageal atresia repair
Your child will be admitted to the neonatal intensive care unit (NICU) or infant care center (ICC) as soon as the doctors diagnose either of these problems.
Your baby will receive nutrition by vein (intravenous, or IV) and may also be on a breathing machine (ventilator). The nurses may use suction to keep fluids from going into the lungs.
Some infants who have a low birth weight or other birth defects may not be able to have surgery until these other problems have been treated or have gone away.
After surgery, your child will be cared for in a hospital's NICU. Your child will be placed in a special bed called an isolette (incubator), which provides warmth and helps prevent infection.
Additional treatments after surgery usually include:
If both the tracheoesophageal fistula and esophageal atresia are repaired:
If only the tracheoesophageal fistula was repaired and not the esophageal atresia, a gastrostomy tube will be used for feedings until the atresia can be repaired.
How long your infant stays in the hospital will depend on what type of surgery your child needed. You will be able to bring your baby home once he or she is taking feedings by mouth or gastrostomy tube, and is gaining weight.
Orenstein S, Peters J, Khan S, Youssef N, Hussain SZ. Congenital anomalies: Esophageal atresia and tracheoesophageal fistula. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 316.
Long JD, Orlando RC. Anatomy, histology, embryology, and developmental anomalies of the esophagus. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 40.
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